在PTSD中治疗分离:心理干预研究研究的元分析
Melissa Akoral1,2, Alison Hauenstein-Swan3, Jala Rizeq1
1School of Health and Wellbeing, University of Glasgow, Glasgow, UK.
概括
心理治疗对患有创伤后应激障碍 (PTSD) 和复杂PTSD (CPTSD) 的成年人的解离有很小的影响. 在干预中明确针对分离对于改善创伤治疗结果至关重要.
科学领域:
- 心理学 心理学 心理学
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
背景情况:
- 分离是创伤后应激障碍 (PTSD) 和复杂PTSD (CPTSD) 的重要因素.
- 临床上对分离的认知是不一致的,目前的创伤治疗可能无法充分解决分离经历.
- 需要评估心理干预对患有PTSD/CPTSD的成年人解离的疗效.
研究的目的:
- 系统地审查和元分析心理干预对被诊断患有PTSD和/或CPTSD的成年人解离的影响.
- 为了比较心理疗法的结果与控制条件在减少分离.
主要方法:
- 在多个电子数据库 (PsychINFO,COCHRANE,EMBASE,Medline) 中进行了系统的数据库搜索.
- 纳入标准集中在对创伤心理治疗的受控试验上,这些试验测量了解离作为结果.
- 使用偏差风险2 (ROB-2) 工具和混合方法评估工具 (MMAT) 评估偏差风险. 在分析中包括了13项研究.
主要成果:
- 对于目前的心理治疗来说,在减少分离体验方面发现了一个小而具有统计意义的效果大小 (g = -0.28).
- 研究之间的异质性很低 (I2 = 7.8%),表明研究结果的一致性.
- 亚组分析表明,在不同的对照条件,治疗类型和措施中存在潜在影响,尽管整体适度并不显著.
结论:
- 目前的心理治疗方法在减少患有PTSD/CPTSD的成年人的分离方面具有很小但显著的效果.
- 为了提高有效性,以创伤为重点的干预措施应该更明确地针对和解决分离经验.
- 可能需要进一步的研究来优化对经历重大解离的个体的治疗策略.
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